PROJECT COUNTRY | PROJECT LEADERSHIP |
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India | Mohammed Kumail Ali, MBChB, MSc, MBA Lydia Chwastiak, MD, MPH Viswanathan Mohan, MD, PhD, DSc |
Description
This randomized controlled pragmatic trial at four diabetes clinics in India evaluated the effectiveness of a multi-component collaborative practice change (MCCP) intervention compared to treatment as usual. 404 patients with type 2 diabetes and poor disease control and moderate-to-severe depression were randomized to either MCCP or treatment as usual. Primary outcome is the % of patients who achieved depression response AND clinically significant improvement in diabetes disease control after 24 months. MCCP consisted of non-mental health specialist care coordinators (CC) who supported patient self-management and tracked outcomes in a registry, and decision-support electronic health records (DS-EHR) and monthly case reviews with psychiatrist and diabetologist consultants to facilitate timely treatment adjustments.
Project dates
2013-2019